Evidence map›Paper›PMID 33600474›Full record

ArticlePloS one2021

Clinical features of behavioral symptoms in patients with semantic dementia: Does semantic dementia cause autistic traits?

Shizuka Sakuta, Mamoru Hashimoto, Manabu Ikeda, Asuka Koyama, Akihiro Takasaki, Maki Hotta, Ryuji Fukuhara, Tomohisa Ishikawa, Seiji Yuki, Yusuke Miyagawa and 3 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Theory of mind deficits in non-fluent primary progressive aphasia.Cortex; a journal devoted to the study of the nervous system and behavior · 2025
    Article
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 1 country.

Shizuka SakutaGraduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.ORCID 0000-0002-1920-165X
Mamoru HashimotoFaculty of Life Sciences, Department of Neuropsychiatry, Kumamoto University, Kumamoto, Japan.ORCID 0000-0002-9787-9722
Manabu IkedaDepartment of Psychiatry, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Asuka KoyamaFaculty of Life Sciences, Department of Neuropsychiatry, Kumamoto University, Kumamoto, Japan.
Akihiro TakasakiGraduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
Maki HottaGraduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
Ryuji FukuharaDepartment of Neuropsychiatry, Kumamoto University Hospital, Kumamoto, Japan.
Tomohisa IshikawaDepartment of Neuropsychiatry, Kumamoto University Hospital, Kumamoto, Japan.
Seiji YukiDepartment of Neuropsychiatry, Kumamoto University Hospital, Kumamoto, Japan.
Yusuke MiyagawaDepartment of Neuropsychiatry, Kumamoto University Hospital, Kumamoto, Japan.
Yosuke HidakaGraduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
Keiichiro KanedaKumamoto Seimei Hospital, Kumamoto, Japan.
Minoru TakebayashiFaculty of Life Sciences, Department of Neuropsychiatry, Kumamoto University, Kumamoto, Japan.
Kumamoto University · JPKumamoto University Hospital · JPNational Hospital Organization · JPThe University of Osaka · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the behavioral characteristics of semantic dementia (SD) using an instrument originally developed for patients with autism spectrum disorder.

methodsThe behavioral symptoms of 20 patients with SD and 20 patients with Alzheimer's disease (AD) in both the preclinical state and the dementia state were evaluated using the Pervasive Developmental Disorders Autism Society Japan Rating Scale (PARS).

resultsThe SD group showed high prevalence in four behaviors related to stereotypy and social impairment: eating very few food items, selfishness, difficulty in recognizing others' feeling and thoughts, and interpreting language literally. Scores on the PARS short version, which is sensitive for diagnosis of autism spectrum disorder, were significantly higher in the dementia state than in the preclinical state in both the SD (11.5 ± 6.0 and 1.7 ± 2.5, respectively; t (19) = 6.7, p < 0.001) and AD (6.9 ± 4.6 and 1.7 ± 2.0, respectively; t (19) = 5.1, p < 0.001) groups. PARS short version scores after dementia onset increased in both the SD and AD groups, although the increase was significantly larger in the SD group (F = 5.6, p = 0.023). Additionally, a significantly higher rate of patients exceeded the cutoff score for autism diagnosis in the dementia state in the SD group (75%) than in the AD group (40%; χ2 = 5.0, p = 0.025). PARS scores in the dementia state were significantly correlated with illness duration (r = 0.46, p = 0.04) and Mini-Mental State Examination scores (r = -0.75, p < 0.001) in the SD group only.

conclusionsAlthough SD and autism spectrum disorder are etiologically distinct diseases, patients with semantic dementia behave like those with autism spectrum disorder. Our findings suggest the symptomatic similarity of the two disorders.

Indexed as

AgedAlzheimer DiseaseAutism Spectrum DisorderFemaleFrontotemporal DementiaHumansMaleMiddle AgedNeuropsychological TestsSeverity of Illness IndexStereotyped Behavior

Identifiers

PMID33600474
PMCPMC7891790
OpenAlexW3130484305

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.